[Long-term results of operative treatment of the vertebro-basilar syndrome].

In case of changes occurring within the extracranial sections of the common and internal carotid artery the operative procedure has become a generally accepted surgical method. Another reason of brain ischemia is the vertebro-basilar insufficiency caused by external pressure on the vertebral artery in a channel formed by transverse processes of cervical vertebrae. The author presents the clinical experience with 54 cases that have been treated surgically from 1994 to 2003 due to the above mentioned reasons. In all patients an anastomosis between the distal vertebral artery and external carotid artery gave good or very good results.